Americans don’t typically have a reason to think about the fluoride in their water, but this is not a typical week. Robert F. Kennedy Jr., the former independent presidential candidate whom Donald Trump is eyeing as his health czar, has vowed to remove the mineral from drinking water if he is appointed to the next administration. Kennedy has said that the chemical lowers children’s IQ, even though studies overwhelmingly show that it is safe. Trump apparently agrees, and in his victory speech on Wednesday, he told Kennedy to “go have a good time” working on public health.

The prospect of giving Kennedy any semblance of power over the nation’s health is alarming, and not only because of his preoccupation with fluoride. (And to be fair, many scientists have made serious and nuanced inquiries about fluoride.) Kennedy, an environmental lawyer with no background in health, is best known for his skepticism, if not outright antagonism, toward vaccines. He also has a long track record of championing other pseudoscientific and conspiratorial views, such as the baseless belief that antidepressants are responsible for mass shootings.

When I looked up his full “Make America Healthy Again” platform, I expected to see wacky conspiracies. Instead, its goals could have been pulled from any liberal public-health campaign. MAHA’s key ambitions include addressing the root causes of chronic disease, improving the food supply through regenerative agriculture, preserving natural habitats, eliminating corporate influence from government health agencies, and removing toxins from the environment. The campaign acknowledges the need for systemic interventions such as increasing access to nutritious food and prioritizing preventative health care, initiatives touted by Democrats such as Michelle Obama.

MAHA represents a mix of concerns from across the political spectrum. “The issues he’s bringing up when it comes to health and food are more recognizably left,” Rachel Meade, a political scientist at Boston University who has studied Kennedy’s politics, told me. Blaming our health problems on corporations is also a move from the left’s playbook, Meade said. Indeed, Bernie Sanders has spent the past year railing against Ozempic’s manufacturer for making the drug so expensive. Assessed only by its goals and not its remedies, MAHA makes a lot of sense. That’s also what makes it dangerous.

Everyone can agree that “removing toxins from the environment,” one of MAHA’s stated goals, is a good idea. But not everyone agrees on what a toxin is. Fluoride is one, from Kennedy’s perspective. MAHA rightly points out that America’s “poor diet” must be addressed. But what counts as a good diet? To Kennedy, it might include raw milk, which poses serious health risks. Addressing “inadequate healthcare” is crucial, of course—but to Kennedy, that could entail treating COVID with ivermectin and hydroxychloroquine, alternative remedies that have been proven not to work.

RFK Jr.’s goals aren’t the only part of his platform that may appeal to more than conspiracy-addled Trump supporters. His overarching diagnosis of the nation’s health problems is that Americans are being misled by bad science and the institutions that support it. “Once Americans are getting good science and allowed to make their own choices, they’re going to get a lot healthier,” he said in an interview with NBC on Wednesday. This notion—that people should do their own research and take their health into their own hands—resonates widely. The belief that scientific institutions aren’t working spans the political spectrum, bringing together subcultures including anti-vaxxers, seed-oil truthers, carnivore-diet enthusiasts, and wellness influencers.

Kennedy himself is politically slippery. He was a Democrat until 2023, when he campaigned for president as an independent before dropping out and endorsing Trump. His anti-vaccine beliefs are historically associated with crunchy liberals, and his environmental views align with the left. But he fits in easily among Republicans, too. Many on the right adopted anti-vaccine views during COVID. More pertinently, his anti-establishment attitude toward health fits neatly in Trump’s us-versus-them narrative. Kennedy, like Trump, thinks of himself as a populist; he frames public-health issues in terms of corrupt institutions duping everyday people, regardless of their party. The bipartisan alliance formed around opposition to mainstream public health has created a strange new faction that counts Kennedy among its figureheads. One way to think of it, as my colleague Elaine Godfrey has written, is “woo-woo meets MAGA.”

MAHA appeals to this group—and could perhaps expand it. “Anti-establishment populism that has aspects of both left and right is a prominent narrative in alternative media spaces,” Meade said. Kennedy’s skepticism about health resonates among followers of influencers such as Russell Brand and Joe Rogan, who frequently entertain health-related conspiracies; Kennedy himself has been on their podcasts. Like Kennedy, many of them are disaffected former Democrats whose politics can be hard to pin down: Although Rogan endorsed Trump, he has called himself a “bleeding-heart liberal.”

It’s still possible that Kennedy might not get a prominent job in the Trump administration. His wariness of corporations doesn’t jibe with Trump’s embrace of them, and Trump has already made clear that environmental concerns won’t be a priority: “Bobby, stay away from the liquid gold,” he said in his victory speech, referring to oil. Kennedy’s history of bizarre behavior—including dumping a bear corpse in Central Park—may give some in Trump’s inner circle pause.

Even if Kennedy never joins the Trump administration, his ideas will continue to have broad appeal. America has seen what happens when people lose trust in public-health institutions. Pandemics drag on because people are afraid to get vaccinated. Measles outbreaks return to schools. People drink bleach. And maybe soon, Americans will no longer be drinking fluoridated water.

Photographs by OK McCausland

The vibe shifted sometime around 10:30 p.m. eastern.

For several hours beforehand, the scene at the Howard University Yard had been jubilant: all glitter and sequins and billowing American flags. The earrings were big, and the risers were full. Men in fraternity jackets and women in pink tweed suits grooved to a bass-forward playlist of hip-hop and classic rock. The Howard gospel choir in brilliant-blue robes performed a gorgeous rendition of “Oh Happy Day,” and people sang along in a way that made you feel as if the university’s alumna of the hour, Kamala Harris, had already won.

But Harris had not won—a fact that, by 10:30, had become very noticeable. As the evening drew on, the clusters of giddy sorority sisters and VIP alumni stopped dancing, their focus trained on the projector screens, which were delivering a steady flow of at best mediocre and sometimes dire news for Democrats. No encouragement had yet come from those all-important blue-wall states, Pennsylvania, Michigan, and Wisconsin. Somewhere between Georgia turning red and Senator Ted Cruz demolishing Colin Allred in Texas, attendees started trickling out the back.

It was starting to feel pretty obvious, even then, that Donald Trump would be declared the winner of the 2024 presidential election. And soon after 5:30 a.m. eastern this morning, he was, when the Associated Press called Wisconsin for him, giving him an Electoral College majority even with a number of states yet to declare. An across-the-board rightward shift, from Michigan to Manhattan, had gradually crushed the hopes of Democrats in an election that, for weeks, polling had indicated was virtually tied. But a Trump victory was a reality that nearly everyone at Harris’s watch party seemed to have prepared for only theoretically.

Before last night, Democrats felt buoyant on a closing shot of hopium. While Harris stayed on message, Trump had what seemed a disastrous final week: His closing argument was incoherent; his rally at Madison Square Garden was a parade of racism; he stumbled getting into a garbage truck and looked particularly orange in photos. Democratic insiders crowed that early-vote totals were favoring Harris, and that undecided voters in swing states were coming around. Then there was Ann Selzer’s well-respected poll in Iowa, which suggested that the state might go blue for the first time since Barack Obama’s presidency.

(OK McCausland for The Atlantic)

On a breezy and unseasonably warm evening in Washington, D.C., thousands of people had gathered on the grassy campus at Harris’s alma mater to watch, they hoped, history being made. No one mentioned Trump when I asked them how they were feeling—only how excited they were to have voted for someone like Harris. Kerry-Ann Hamilton and Meka Simmons, both members of the Delta Sigma Theta sorority, had come together to witness the country elect the first Black woman president. “She is so well qualified—” Hamilton started to say. “Overqualified!” Simmons interjected.

Leah Johnson, who works at Howard and grew up in Washington, told me that she would probably leave the event early to watch returns with her mother and 12-year-old daughter at home. “It’s an intergenerational celebratory affair,” she said. “I get to say, ‘Look, Mom, we already have Barack Obama; look what we’re doing now!’”

Everyone I spoke with used similar words and phrases: lots of firsts and historics and references to the glass ceiling, which proved so stubbornly uncrackable in 2016. Attendees cheered in unison at the news that Harris had taken Colorado, and booed at Trump winning Mississippi. A group of women in tight dresses danced to “1, 2 Step” by Ciara and Missy Elliott. Howard’s president led alumni in the crowd in a call-and-response that made the whole evening feel a little like a football game—just fun, low stakes.

Several people I talked with refused to entertain the idea that Harris wouldn’t win. “I won’t even let myself think about that,” a woman named Sharonda, who declined to share her last name, told me. She sat with her sorority sisters in their matching pink-and-green sweatshirts. Soon, though, the crowd began to grow restless. “It was nice when they turned off the TV and played Kendrick,” said one attendee who worked at the White House and didn’t want to share her name. “Just being part of this is restoring my soul, even if the outcome isn’t what I want it to be,” Christine Slaughter, a political-science professor at Boston University, told me. She was cautious. She remembered, viscerally she said, the moment when Trump won in 2016; and the memory was easy to conjure again now. “I know that feeling,” she said. She was consoling herself: She’d been crushed before. She could handle it again.

Harris herself was expected to speak at about 11 p.m., but by midnight, she still hadn’t appeared. People bit their cheeks and scrolled on their phones. There was a burst of gleeful whoops when Angela Alsobrooks beat Larry Hogan in Maryland’s U.S. Senate election. But soon the trickle of exiting attendees became a steady flow. Potentially decisive results from Pennsylvania and Wisconsin were not due soon, but Michigan didn’t look good. North Carolina was about to be called for Trump.

I texted some of my usual Democratic sources and received mostly radio silence in response. “How do you feel?” I asked one, who had been at the party earlier. “Left,” she answered. Mike Murphy, a Republican anti-Trump consultant, texted me back at about 12:30 a.m: “Shoot me.”

Donors and VIPs were streaming out the side entrance. The comedian Billy Eichner walked by, looking sad, as the Sugarhill Gang’s “Apache (Jump On It)” played over the loudspeakers. A man pulled me aside: “There will be no speech, I take it?” he said. It was more of a comment than a question.

(OK McCausland for The Atlantic)

“I’m depressed, disappointed,” said Mark Long, a software salesman from D.C., who wore a T-shirt with a picture of Harris as a child. He was especially upset about the shift toward Trump among Black men. “I’m sad. Not just for tonight, but for what this represents.” Elicia Spearman seemed angry as she marched out of the venue. “If it’s Trump, people will reap what they sow,” she said. “It’s karma.”

Just before 1 a.m., the Harris campaign co-chair Cedric Richmond came onstage to announce that the candidate would not be speaking that night. The former Louisiana representative offered muted encouragement to the crowd—an unofficial send-off. “Thank you for being here. Thank you for believing in the promise of America,” he said, before adding, “Go, Kamala Harris!” The remaining members of the crowd cheered weakly. Some of the stadium lights went off.